One of the most innovative of these treatments is robotic-assisted laparoscopic prostatectomy (removal of the prostate). The University of Pennsylvania Health System is currently one of only a handful of facilities across the country offering this minimally invasive, high-tech treatment. David I. Lee, M.D., a national expert in robotic surgery, was recruited to Penn and named Chief of the Division of Urology at Penn Presbyterian Medical Center, where the robotic prostate program is based.
There are many factors that make robotics an exceptionally valuable tool in the operating room during prostate surgery, for both the patient and surgeon. "Perhaps two of the most-feared possible long-term effects of a radical prostatectomy are erectile dysfunction and urinary incontinence," says Dr. Lee. "My specially-trained team and I have discovered that by using the robotic technique there is greater nerve sparing, which provides patients with the best chance for maintaining potency and continence."
Robotic technology offers a number of advantages during surgery. For instance, the robotic "arms" filter even minute tremors of the human hand so to provide steadiness. The robot's camera also provides a three-dimensional, stereoscopic image of the body's interior, as opposed to a two-dimensional
image on a flat screen. This improved perspective enables depth perception sharpens the visualization of the prostate and the network of nerves and tissue surrounding it. Additionally, by scaling down the motion of the robotic instruments, the surgeon can perform extremely precise, intricate movements during the procedure. For example, if the surgeon's hand moves five centimeters, he/she
Contact: Olivia Fermano
University of Pennsylvania School of Medicine